Individual
DR. SARAH E SHANGRAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1793 13TH ST SE, SALEM, OR 97302-2541
(503) 362-8385
(503) 362-8435
Mailing address
1793 13TH ST SE, SALEM, OR 97302-2541
(503) 362-8385
(503) 362-8435
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
DR.0066477
CO
207N00000X
Dermatology Physician
Primary
MD214420
OR
390200000X
Student in an Organized Health Care Education/Training Program
TL0006692
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
029199
KAISER COMMERCIAL NUMBER
CO
Enumeration date
05/31/2017
Last updated
06/10/2026
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